CLINICAL HISTORY A 17-year-old adolescent girl was seen with a 4-year history of head pain which, initially, was occasional. After gradually increasing in frequency during the last year, this pain has been occurring daily. She describes a stabbing pain in the left or right temple lasting seconds. She often has multiple recurring pains (pain for seconds, brief remission, recurrent pain, etc) wit...

Two and a half years ago the Ministry of Health asked the 15 regional hospital boards to expand their psychiatric facilities for adolescents. The National Association for Mental Health then collected detailed information about the boards' expansion plans. But late last year a further NAMH survey revealed that in the 2\ years since the Ministry's call there had been a national increase of only 3...

A teenager with left ventricular dysfunction complicating chronic incessant supraventricular tachycardia is described. He was unusual in his delayed presentation to hospital, despite having come to medical attention several years previously, and he showed an excellent response to flecainide.